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Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition) ›› 2017, Vol. 11 ›› Issue (06): 595-598. doi: 10.3877/cma.j.issn.1674-1358.2017.06.015

• Clinical Research Article • Previous Articles     Next Articles

Risk factors, diagnosis and treatment of postoperative infection in patients with burn plastic surgery

Weiming Bu1,(), Yushan Liao2, Riyue Su1, Changyan Wei1   

  1. 1. Department of Surgical, Qinzhou the First People’s Hospital, Qinzhou 535000, China
    2. Department of Infection, Qinzhou the First People’s Hospital, Qinzhou 535000, China
  • Received:2016-11-27 Online:2017-12-15 Published:2021-09-08
  • Contact: Weiming Bu

Abstract:

Objective

To investigate the related factors that could cause infection after burn plastic surgery, and to put forward the corresponding treatment measures and recommendations.

Methods

Total of 88 patients with infection symptoms were collected randomly from January 2013 to December 2015. There were 88 patients without infection were selected during this period as control group. The influencing factors of infection after burn plastic surgery and the countermeasures were analyzed by Univariate analysis and multivariate Logistic regression analysis.

Results

Univariate analysis showed that there were no signs of scarring, with or without residual wounds, the number of antimicrobial agents and the time of operation were related to postoperative infection of burns. According to the results of multivariate Logistic regression analysis (OR = 2.812, P = 0.026), scar wounds (OR = 3.148, P = 0.011), residual wounds (OR = 2.711, P = 0.030) and operation time ≥ 200 (OR = 2.883, P = 0.019) were all the risk factors of postoperative infection, respectively. The pathogen test showed 35.23% and 64.77% of Gram-positive and negative cocci infection. The main pathogens were Pseudomonas aeruginosa, Staphylococcus aureus and Escherichia coli.

Conclusions

Hospitals should avoid the use of multiple types of antibiotics at the same time, shorten the operation time appropriately and take measures to eliminate scar wrinkles and residual wounds in order to inhibit the infection after burn surgery.

Key words: Burn plastic surgery, Infection, Risk factor diagnosis, Treatment countermeasure

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